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Covid‐19, social restrictions, and mental distress among young people: a UK longitudinal, population‐based study
Author(s) -
Knowles Gemma,
GayerAnderson Charlotte,
Turner Alice,
Dorn Lynsey,
Lam Joseph,
Davis Samantha,
Blakey Rachel,
Lowis Katie,
Pinfold Vanessa,
Creary Natalie,
Dyer Jacqui,
Hatch Stephani L.,
Ploubidis George,
Bhui Kamaldeep,
Harding Seeromanie,
Morgan Craig
Publication year - 2022
Publication title -
journal of child psychology and psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.652
H-Index - 211
eISSN - 1469-7610
pISSN - 0021-9630
DOI - 10.1111/jcpp.13586
Subject(s) - psychology , covid-19 , distress , longitudinal study , mental health , population , developmental psychology , psychiatry , mental distress , clinical psychology , demography , medicine , sociology , virology , disease , pathology , outbreak , infectious disease (medical specialty)
Background Adolescence is a critical period for social and emotional development. We sought to examine the impacts of Covid‐19 and related social restrictions and school closures on adolescent mental health, particularly among disadvantaged, marginalised, and vulnerable groups. Methods We analysed four waves of data – 3 pre‐Covid‐19 (2016–2019) and 1 mid‐Covid‐19 (May–Aug 2020; n , 1074; 12–18 years old, >80% minority ethnic groups, 25% free school meals) from REACH (Resilience, Ethnicity, and AdolesCent Mental Health), an adolescent cohort based in inner‐London, United Kingdom. Mental health was assessed using validated measures at each time point. We estimated temporal trends in mental distress and examined variations in changes in distress, pre‐ to mid‐Covid‐19, by social group, and by pre‐ and mid‐pandemic risks. Results We found no evidence of an overall increase in mental distress midpandemic (15.9%, 95% CI: 13.0, 19.4) compared with prepandemic (around 18%). However, there were variations in changes in mental distress by subgroups. There were modest variations by social group and by pre‐Covid risks (e.g., a small increase in distress among girls (b [unstandardised beta coefficient] 0.42 [−0.19, 1.03]); a small decrease among boys (b − 0.59 [−1.37, 0.19]); p for interaction .007). The most notable variations were by midpandemic risks: that is, broadly, increases in distress among those reporting negative circumstances and impacts (e.g., in finances, housing, social support and relationships, and daily routines) and decreases in distress among those reporting positive impacts. Conclusions We found strong evidence that mental distress increased among young people who were most negatively impacted by Covid‐19 and by related social restrictions during the first lockdown in the United Kingdom.